MS. Carol Therese Moore

Individual provider Gerontology Occupational Therapist · NPI 1760707384

MS. Carol Therese Moore is a Gerontology Occupational Therapist in Willow Grove, Pennsylvania. Practices as a sole proprietor. Licensed in Massachusetts and Pennsylvania.

Licensed in: MA, PA
In the registry since: 2010
Specialties on file: 2

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Practice location Address checks out

1908 Coolidge Ave
Willow Grove, PA 19090-3017
Phone: (215) 657-7668

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Specialties & licences

Gerontology Occupational Therapist (primary)	Taxonomy 225XG0600X · Licence OC003500L (PA)
Gerontology Occupational Therapist	Taxonomy 225XG0600X · Licence 2309 (MA)

Record details

NPI number	1760707384
Entity type	Individual (Type 1)
Gender	Female
Sole proprietor	Yes
NPI enumerated	April 7, 2010
Last updated in NPPES	April 7, 2010
Mailing address	1908 Coolidge Ave, Willow Grove, PA 19090-3017